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An example of technological advancement that enhances

An example of technological advancement that enhances efficiency and safety is the introduction of clinical decision support into the Electronic Medical Record. How has the integration of this technology impacted the nursing process? Choose 2 answers The nurse no longer has to access multiple areas of the patient record to visualize a snapshot of their patient’s current status. The Nurse Assistant or other unlicensed health professional no longer needs to report abnormal vital sign findings directly to the RN. The nurse no longer has to be concerned about patient allergies during medication. The nurse no longer has to access a hard copy of the drug reference guide or standards of care. *A nurse practices central line maintenance on a simulation mannequin. How does this technology improve patient clinical outcomes? Choose 2 answers Nurses will begin to perform clinical skills using virtual technology in a safe environment. Nurses will become more technologically savvy. Nurses will receive immediate feedback, which allows for improved technique. Nurses will enjoy the sensation of physically practicing a medical function. *What are potential barriers to patient-centered care caused by using an Electronic Medical Record (EMR)? Choose 2 answers Keeping the computer positioned between staff and the patient Using the EMR to document care provided to a patient Blaming the computer for taking all staff’s time away from care g Delaying entering Delaying entering information until break or end of shift *Why are initiatives that have been working to implement Informatics competencies for all healthcare providers necessary? Choose 2 answers informatics competencies are a necessary stepping stone to evidence- based practice Nurses need to be able to access a patient’s electronic records Caring for patients is ineffective when the nurse is no competent in technology The use of data collected through the EMR will prohibit decision making capabilities of nurses. *What is a challenge found in adhering to the Health Information Technology for Economic and Clinical Health (HITECH) Act? The Act mandates that electronic health records be used in lieu of all other methods of recording data, which can cause difficulties when computers crash or are slow. The Act mandates that electronic health records be used only within qualified large facilities, which can drive business away from smaller clinics. The Act mandates that electronic health records be used sparingly, which can create more work for the nursing staff as they must constantly hunt for paper files in the records The Act mandates that electronic health records be used in a meaningful way, which can be difficult without consistent terminology. *As knowledge workers, nurses are involved in data gathering, information use, knowledge use, and knowledge building. Why is nurses’ active participation in a health information system selection process important from this perspective? Having a nurse on the project will improve how quickly the system is adopted by other nurses. Nurses will identify the types of patient data they routinely collect. Nurses will predict how well the new system will be accepted by their peers. Nurses will identify which systems seem easiest to use. Which administrative system, also known as admission/discharge/transfer (ADT) system, is used to collect and store client identification and demographic data that are verified and updated at the lime of each visit. Scheduling System Contract Management System Registration System Financial System Why are order entry systems one of the most important systems in use today? They provide major safeguards by ensuring that physician orders are complete + legible. They promote interaction among healthcare providers and between providers and patients. They enhance administrative tasks within healthcare organizations. They provide direct patient care. *Why is it important for board members to collaborate on an administrative level when selecting a health information system? Choose 2 answers They must decide who will be responsible for the project and make sure that those who are responsible are held accountable They should understand the impact electronic processes have on business goals. They often decide the budget for a system’s implementation, which can affect the success of the project. If they do not collaborate on a project that fails, they may resist using health information systems in the future *Central Care Hospital is upgrading their laboratory system. The implementation team is dedicated to maximizing the new system’s interoperability or the ability to share information with other health information systems in real time. How could this effort improve patient care? Choose 2 answers Healthcare providers may make better informed decisions because they have access to the latest patient laboratory data Insurance payment for laboratory tests will increase because patient data will be easily accessible. Healthcare providers can access laboratory data through handheld computers and mobile phones. Less patient data will be lost because the data will show up in many systems healthcare providers will order fewer duplicate laboratory tests because they have access to patient’s laboratory test results. Which functions are performed within an electronic health record? Choose 2 answers Entering care orders such as microbiology and pathology in the system Hosting links to medical care resources outside the provider’s network Providing a list of care codes for insurance policy purposes Setting computer reminders and alerts to improve patient diagnosis and care How would the electronic health system be accessed for those who are not able to connect to the Internet? Use of standard paperwork Local area network access Remote access Use of archived records Central city Health System is currently searching for an electronic health record (EHR) I use in ambulatory care settings. These settings include pediatrics, oncology, obstetrics, medicine, and family practice. What is one challenge to using a single HR in these settings? There will be a large number of people to train, increasing the overall budget for the project. Care providers in these settings will have different data needs based on their patient population. The time to implement across so many settings may make the project too long. The expense to purchase systems for this many setting may be too much. *Match how each healthcare technology improves patient outcomes. Answer options may be used more than once or not at all: Answer options: Improves physician adherence to best treatment practice, improves provider decision-making, prevents medication errors, improve medication adherence Electronic reminder alerts the physician that the patient is due for diabetic foot exam________ Improves physician adherence to best treatment practice Blood pressure machine transmits data to nursing record _________________ improves provider decision-making Provider order entry detects medication spelling errors______________ prevents medication errors Provider order entry presents latest evidence for medication use ______________ improve medication adherence Cell phone messages remind patients to take their medication________________ improve medication adherence *You are assessing various technologies for use in the cardiology clinic. What characteristics should the system have as a clinical decision support tool? Choose 2 answers Allows radiology results to be imported Combines patient information with a knowledge base to make recommendations Analyze data based upon a set of rules Captures laboratory values in real time reduces patient home care instructions *Leticia is working with the Pediatric Cardiology group. They want to embed clinical practice guidelines within the electronic health record. What does Leticia determine by completing a workflow analysis as part of the development process? The time needed to work with system developers to complete the changes in the electronic health record How to maximize electronic health record functionality to support the guidelines How many more staff the clinic will need to carry out the steps of the clinical practice guideline The cost of altering how the electronic health record functions Not all computerized provider order entry (CPO) systems have clinical decision support (CDS) functionality. How might the addition of CDS to a CPOE system improve patient safety based on your understanding of CDS? CPOE transmits orders directly to the pharmacy, decreasing time nurses have to wait for medication. Provider’s orders are typed into the CPOE system; therefore, orders are legible for nurses, pharmacists, and other physicians. The CPOE system recommends a medication dose based on the patient’s current weight. The CPOE system provides a list of current medications that the nurse can print for the patient at discharge. Patient safety improvement is a central goal for using clinical decision support (CDS) tools during patient care. How would a clinical decision support (CDS) improve care based on your understanding of CDS functionality? A CDS facilitates decision-making processes by providing real-time care recommendations, warnings, and alerts. A CDS connects providers to laboratory information systems. A CDS documents the steps a provider takes when choosing the right medications for patients. A CDS trends patient data so that providers can easily see changes. *Research notes that past experience with clinical decision support tools may negatively impact healthcare providers’ willingness to adopt this technology. What is one reason for this finding? Healthcare providers may have used former CDS tools that did not have remote access Healthcare providers may have used former CDS tools that created additional work. Healthcare providers may have used former CDS tools that did not offer spell check. Healthcare providers may have used former CDS tools that only worked for provider order entry. *Which kind of culture is described by the principles of commitment of resources, a blame-free environment, and cross-disciplinary collaboration? Caring Timely Quality Safety How does technology facilitate a culture of safety within an organization? Patient care communication is improved. Doctors enter their own orders on CPOE. The computer catches all errors. Transcription errors are completely eliminated. How has Informatics technology affected the medication administration process? The errors associated with medical administration are not related to the introduction of technology. There are as many errors today as there were before this technology. Some errors have been eliminated while other types of errors have been introduced. Medication administration-related errors have been eliminated. In the last two days, a nurse practitioner in the family practice clinic, Alice, has seen several patients who complain of vomiting and diarrhea. She wonders if she is witnessing the beginning of an outbreak, what does Alice know she can do to determine if this is an outbreak, because of her access to the electronic health records? Trend patient data to detect patterns, such as the number of patients treated with similar symptoms Reach out to other providers who have treated similar patients for their treatment recommendations Look at the state’s incidence of diarrhea and vomiting cases Refer patients who complain of vomiting and diarrhea to a doctor within her practice What gap does telehealth fill in healthcare? Overabundance of people without insurance and a scarcity of people with insurance Overabundance of technology and a scarcity of hospitals Overabundance of patients and a scarcity of healthcare providers. Mountain Family Practice would like to add dermatology to their services but they have not been able to recruit a dermatologist to join their rural practices. They are considering a telemedicine approach where the providers and patients could consult directly with the dermatologist. Which telecommunications technologies are most appropriate for supporting Mountain Family a new service? Choose 2 answers Teleradiology Store and forward digital images Video conferencing in real time Remote monitoring: blood pressure & weight Electroencephalogram SCIENCE HEALTH SCIENCE NURSING INFORMATIC NR541

 
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